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43 Cards in this Set

  • Front
  • Back
Anomaly
deviation from normal, usually related to embryonic development that may result in absence, excess, or deformity of body parts
vault fracture
note projection of bone into media orbital rim
mandibular condylar overgrowth
longstanding condition probably associated with asymmetrical condyle hyperplasia
Hemifacial microsomia
deformity affects the left side of the face resulting in condylar agenesis and midfacial hypoplasia
hydrocephalus
dental age - 10 years

estimated cranial capacity exceed 3300cc
midface hypoplasia
narrowness of anterior palate
results of hemifacial microsomia
crowding on underdeveloped side
result of fused cranial and sagittal suture
frontal area extremely flat and tall, but also recessed relative to the face
cleft palate
deficiency of palatal portions of the left maxilla resulting in a unilateral cleft
dental anomolies
abnormalities of tooth form

range from "common" (peg lateral incisors) to complete anodontia
dental development (age 6)
want to see spaces between primary dentition = jaw growing
dental anomalies
2-5% of the population have some form of anodontia (missing teeth)

1-2% of the population have supernumerary (extra) teeth
what is more common?

missing teeth or extra teeth
more common to have missing teeth than extra teeth
complete true anodontia
most often associated with a sex linked genetic disease

faulty ectodermal development further affects hair, nails, sebaceous glands, sweat glands, and salivary glands

- condition is extremely rare
partial anodontia
congenitally missing teeth

involves one or more missing teeth from the dentition

not proven as a hereditary trait, however, tendencies toward missing the same tooth do run in families
partial anodontia
most commonly missing teeth are 3rd molars

maxillary more often than mandibular
partial anodontia - permanent maxillary lateral incisors
permanent maxillary lateral incisors are next most commonly missing teeth

1-2% of the population are missing one or both of these incisors
partial anodontia - mandibular 2nd premolar
3rd most commonly missing permanent teeth

1% of the population is missing one or both

canines are least likely to be missing from the dentition
extra or supernumerary teeth
occur in 0.3 to 3.8% of the population in both dentitions

90% occur in the maxilla

most common area are maxillary central incisor or maxillary third molar region
excess, extra, or supernumerary teeth
maxillary incisor area

- mesiodens

may or may not erupt

supernumerary teeth occur between central and lateral or lateral and canine less frequently
mesiodens
a tooth occurring between central incisors
excess, extra or supernumerary teeth - 3rd molar area
usually located distal to the 3rd molars

occurs in both arches, but more common in the maxilla

teeth rarely erupt into the oral cavity
excess, extra or supernumerary teeth - mandibular premolar area
most common location for supernumerary teeth in the mandible

often resemble normal premolars in size and shape
abnormalities in morphology of teeth - 3rd molars
maxillary 3rd molars have the most variable crown shape of all permanent teeth

mandibular 3rd molars are next
abnormalities in morphology of teeth - maxillary lateral incisors
most common anomaly in shape of anterior teeth - peg shaped lateral incisor

occurs in 1-2% of the population
gemination or twinning
appears clinically as double or fused teeth

most commonly seen in the anterior

result of the splitting of a single tooth germ

seen as 32 roots but 1 extra crown
fusion
fusion of two adjacent tooth germs

always involves the dentin

usually possess sperarate pulp chambers

occurs in less than 1% of the population

thought to be caused by pressure or force during development of adjacent teeth

affects primary dentition more often than permanent dentition

affects mandible more often than maxilla
concresence
fusion or growing together of two adjacent teeth at the tooth through the cementum only

unlike fusion, teeth involved are usually separate, but become joined

usually occurs after eruption because of close proximity of roots
concrescence usually occurs most frequently in ..
the maxillary molar region
Hutchinson's incisors
may be screwdriver shaped, with notched incisal edge
mulberry molars (shaped like a berry)
first molars have occlusal anatomy made up of multiple tiny tubercules

have poorly developed, indistinguishable cusps
accessory cusps or tubercles
any tooth may exhibit extra enamel projections, which may result from developmental localized hyperplasia or crowded pre-eruption conditions
enamel pearls
small nodules of enamel with a tiny core of dentin

found most frequently on the distal of third molars and the buccal root furcation of molars
how are enamel pearls a problem?
prevent normal connective tissue attachement and may channel disease (periodontal problems) into the region
talon cusp
small projection the cingulum area of maxillary or mandibular anterior teeth

this area frequently possess a cusp

may need to be removed because of interference in occlusion
dilaceration
a severe bend or distortion of a tooth or crown
microdontia
very small, but normally shaped teeth

most commonly affects lateral incisors and third molars

can occur in one to the entire dental arch
macrodontia
very large, but normally shaped teeth

most frequently involves incisors or canines
hypercementosis
excessive formation of cementum around the root of a tooth after the tooth has erupted

may cause webbing of the root

can nbe caused by trauma or periapical inflammation
accessory roots or cusps
may be caused by trauma, metabolic dysfunction, or pressure
reaction to injury
abrasion

erosion - loss of tooth structure from non-mechanical means

severe attrition - wear from normal fucntions or excessive grinding

abfraction - caused by occlusal forces

ankylosis - loss of periodontal ligament space - truly fused to bone

infection and bone loss
abrasion
wearing away of tooth structure by mechanical means

can have occlusal abrasion from chewing or biting
ectopic eruption
bizarre eruption because of lack of space